Southern Healthcare Collaboration, Inc
NPI 1750087490 · Primary Care Nurse Practitioner · Baxley, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Healthcare Collaboration, Inc is a Primary Care Nurse Practitioner organization in Baxley, GA (NPI 1750087490).
Provider details
- NPI number
- 1750087490
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Knicole Lee, Owner(912) 278-0410
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southern Healthcare Collaboration, Inc
- Doing business as
- Southern Healthcare Collaboration, Inc
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Frequently asked questions
- What is Southern Healthcare Collaboration, Inc's NPI number?
- Southern Healthcare Collaboration, Inc's National Provider Identifier (NPI) is 1750087490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Healthcare Collaboration, Inc?
- Southern Healthcare Collaboration, Inc is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Healthcare Collaboration, Inc located?
- Southern Healthcare Collaboration, Inc's practice location on file with NPPES is 224 Peachtree St, Baxley, GA 31513-8079.
- What is Southern Healthcare Collaboration, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southern Healthcare Collaboration, Inc is (912) 705-5483.
- Does Southern Healthcare Collaboration, Inc accept Medicare?
- Southern Healthcare Collaboration, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Healthcare Collaboration, Inc?
- The authorized official listed on Southern Healthcare Collaboration, Inc's NPPES record is Knicole Lee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Healthcare Collaboration, Inc's NPI active?
- Yes — Southern Healthcare Collaboration, Inc's NPI (1750087490) is active in the NPPES registry as of the last update on 2026-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.